The horseshoe flap. An “emergency” oncoplastic breast surgery technique

The horseshoe flap. An “emergency” oncoplastic breast surgery technique Since 2003, oncoplastic breast surgery was introduced combining breast cancer resection and reconstruction. The goal of OBS is to achieve an oncologically safe surgery with the best possible cosmetic result. This type of procedure must be carefully planned preoperatively by taking into account several factors. However, sometimes this does not happen, and as a response to this factors’ neglect, we developed a technique to correct the defect from an upper quadrant breast cancer lumpectomy, which resulted to be wider than expected. This technique is called the horseshoe flap. Data were collected retrospectively from the Teramo Breast Unit database from June 2013 to December 2014. Both preoperative and postoperative data were recorded. The horseshoe flap was used in resections of 20 % or more of the breast volume and consisted in the dissection of the remaining breast tissue from the overlying skin flap, and the mobilization of the remaining part of the upper pole from the pectoralis muscle. The two upper extremities were folded to cover the substance loss in the lumpectomy. A total of five patients underwent a horseshoe flap to correct their defect resulting for an upper quadrant cancer excision. Average resection volume was 131 cc, and no poor or bad cosmetic results were observed. During the follow-up, no cancer recurrences were observed. Sometimes breast surgeons need to perform resections larger than expected, and we are challenged with the correction of the defect without the possibility of a preoperative planning. In this pilot work, we present a valid solution for this situation in case cancers are located in the upper quadrants of the breast. European Journal of Plastic Surgery Springer Journals

The horseshoe flap. An “emergency” oncoplastic breast surgery technique

Loading next page...
Springer Berlin Heidelberg
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site


You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial